On this episode of Broken Healthcare, host Ray Kober sits down with Karen Van Caulil, President & CEO of the Florida Alliance for Healthcare Value — one of the nation’s most respected employer coalitions driving real healthcare reform.

Karen shares insider-level insights from 14+ years of working with public and private employers to reduce costs, improve quality, and fight back against the entrenched interests that keep U.S. healthcare expensive, confusing, and opaque.

What We Cover in This Episode:

- Why U.S. healthcare remains broken — and what employers can realistically do about it

- The truth about PBMs, 340B, and the lack of price transparency

- Why employers still struggle to obtain their own claims data (despite the law)

- How the Consolidated Appropriations Act (CAA) changes employer fiduciary responsibility

- How business coalitions (like the Florida Alliance) are reshaping healthcare markets

- Real-world examples: Rosen Hotels, MarineMax, and employers who cracked the code

- The role of brokers — and how misaligned incentives block meaningful change

- What policymakers get wrong — and why employer voices matter more than ever

- Practical steps employers can take right now to protect their plan, members, and dollars

If you’ve ever wondered how employers can fight back against waste, fraud, and abuse in a $5 trillion system — this is the episode you need.

About Karen Van Caulil:

Karen leads the Florida Alliance for Healthcare Value, representing 80+ employers across the state and nationally. With a deep background in health policy, administration, and clinical planning, she is one of the leading voices advocating for employer-led healthcare reform, transparency, and accountability.

Connect with Karen:

https://flhealthvalue.org/

https://www.linkedin.com/in/karenvancaulilphd/

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